DR. SHUANG YING BAO (M.D.) – Nephrology Physician, NPI 1164736930

DR. SHUANG YING BAO (M.D.) is a healthcare provider. based in Anchorage, Alaska. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. E-8874 (AR). The NPI Number for DR. SHUANG YING BAO (M.D.) is 1164736930

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHUANG YING BAO (M.D.)
NPI
1164736930
Phone
(907) 375-5200
Address
4015 LAKE OTIS PKWY STE 101
Enumeration Date
3 August 2010
Last Update Date
17 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737855000
Graduation Year
1994 (32 years ago)
PAC ID
3173747326
Group Practice PAC ID
4587639562
Professional Enrollment ID
I20140610001561

Contacts

Secure Messaging
shuang.ying.bao.1@14795.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:15State licenses:3Other namesUpdated within 12 months

14 NEPHROLOGY in AK

Provider Addresses for DR. SHUANG YING BAO (M.D.)

  • 4015 LAKE OTIS PKWY STE 101

    ANCHORAGE, AK 995085235

    Phone: (907) 375-5200

    Fax: (907) 375-5203

    Type: Mailing

  • 1349 N MOUNT AUBURN RD

    CAPE GIRARDEAU, MO 637011727

    Phone: (573) 334-9564

    Fax: (573) 334-1879

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Ardelyx, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ardelyx, Inc.$16
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140610001561INephrologyMOTBD
I20141106002046INephrologyARTBD
I20220811003042INephrologyAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90960Dialysis services, 4 or more physician visits per month (20 years or older)39270$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes322140$0
99214Established patient office or other outpatient visit, 30-39 minutes290225$0
90935Hemodialysis procedure with physician evaluation24498$0
90966Home dialysis services per month (20 years or older)20044$0
View full utilization report →

Insurance plans in this area (ZIP 99508)

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Provider's Procedures

DR. SHUANG YING BAO (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMO90935Hemodialysis procedure with one physician evaluation710186

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587639562View full group profile
NameSpecialtyState
Nurse PractitionerMO
N E P H R O L O G YMI
N E P H R O L O G YIL
N E P H R O L O G YMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Does DR. SHUANG YING BAO (M.D.) have a public NPI I can cite?
Public records show DR. SHUANG YING BAO (M.D.) under NPI 1164736930.
Should I treat DR. SHUANG YING BAO (M.D.) as an active provider?
Patients and plans typically see DR. SHUANG YING BAO (M.D.) as active in the national extract.
How should patients interpret DR. SHUANG YING BAO (M.D.)'s specialty?
The extract shows Nephrology Physician for DR. SHUANG YING BAO (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. SHUANG YING BAO (M.D.)?
The directory associates DR. SHUANG YING BAO (M.D.) with Anchorage, Alaska. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. SHUANG YING BAO (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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